Individual
SHAMIA KEONA MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 MARTIN BLVD STE 206, MIDDLE RIVER, MD 21220-4103
(410) 971-0370
Mailing address
6218 KENWOOD AVE, ROSEDALE, MD 21237-2021
(410) 971-0370
(410) 971-0370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
07/31/2019
Last updated
04/05/2022
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